Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.50 / $2,798.87 / $20,680.40	Facility		$1,494.50	$2,798.87	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.95 / $1,307.65 / $2,798.87	Professional		$953.95	$1,307.65	$2,798.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,509.47 / $10,149.60	Facility		$55.00	$1,509.47	$10,149.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.29 / $2,606.10 / $9,727.43	Professional		$1,543.29	$2,606.10	$9,727.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.16 / $1,943.90 / $3,285.29	Professional		$1,082.16	$1,943.90	$3,285.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,028.58 / $2,107.48 / $2,756.84	Facility		$1,028.58	$2,107.48	$2,756.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.58 / $2,105.59 / $2,756.84	Professional		$1,028.58	$2,105.59	$2,756.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,261.38 / $2,516.74	Professional		$148.17	$1,261.38	$2,516.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,549.38 / $2,103.67 / $2,213.01	Facility		$1,549.38	$2,103.67	$2,213.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,492.18 / $1,492.18 / $1,509.47	Facility		$1,492.18	$1,492.18	$1,509.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,580.67 / $2,504.12 / $3,022.45	Professional		$1,580.67	$2,504.12	$3,022.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,762.29 / $2,171.40 / $2,849.31	Professional		$1,762.29	$2,171.40	$2,849.31
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.18 / $1,906.87 / $3,177.47	Professional		$1,150.18	$1,906.87	$3,177.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $916.27 / $1,151.13 / $1,151.13	Professional		$916.27	$1,151.13	$1,151.13